The mental health sequelae of traumatic head injury in South Vietnamese ex-political detainees who survived torture.
The mental health sequelae of traumatic head injury in South Vietnamese ex-political detainees who survived torture.
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酷刑幸存的南越前政治犯因颅脑外伤造成的心理健康后遗症。
DOI：
10.1016/j.comppsych.2014.04.014
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发表时间：
2014
影响因子：
7.3
通讯作者：
Renshaw,Perry
中科院分区：
文献类型：
--
作者：
Mollica,RichardF;Chernoff,MiriamC;MeganBerthold,S;Lavelle,James;Lyoo,InKyoon;Renshaw,Perry
关于创伤性脑损伤（THI）和酷刑幸存者精神疾病之间的关系，我们知之甚少。我们研究了THI与越南再教育营中幸存的越南前政治犯的抑郁、创伤后应激障碍、脑震荡后综合征（PCS）、残疾和健康状况不佳之间的关系。对社区前政治犯样本（n= 337）和非thi、非前被拘留者对照组（n= 82）进行了调查。78%的前政治犯经历过THI；90.6%的前政治犯和3.6%的对照组经历过7次或以上的创伤事件。前在押人员抑郁和PTSD的比例高于对照组（40.9%对23.2%，13.4%对0%）。在前政治拘留者组中，THI与创伤/酷刑的剂量效应关系显著。前在押人员和对照组合并样本的Logistic回归证实了THI与创伤/酷刑对精神疾病发病率的独立影响（PTSD OR = 22.4; 95% CI: 3.0-165.8）。这些结果表明THI对越南酷刑幸存者的抑郁和创伤后应激障碍有重要影响。
Little is known about the relationship between traumatic head injury (THI) and psychiatric morbidity in torture survivors. We examine the relationship between THI and depression, PTSD, post-concussive syndrome (PCS), disability and poor health status in Vietnamese ex-political detainees who survived incarceration in Vietnamese re-education camps. A community sample of ex-political detainees (n= 337) and a non-THI, non-ex-detainee comparison group (n= 82) were surveyed. Seventy-eight percent of the ex-political detainees had experienced THI; 90.6% of the ex-political detainees and 3.6% of the comparison group had experienced 7 or more trauma events. Depression and PTSD were greater in ex-detainees than in the comparison group (40.9% vs 23.2% and 13.4% vs 0%).Dose–effectrelationships for THI and trauma/torture in the ex-political detainee group were significant. Logistic regression in the pooled sample of ex-detainees and the comparison group confirmed the independent impact of THI from trauma/torture on psychiatric morbidity (OR for PTSD = 22.4; 95% CI: 3.0–165.8). These results demonstrate important effects of THI on depression and PTSD in Vietnamese ex-detainees who have survived torture.